CHARLES J LOCKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

CHARLES J

Last Name

LOCKE

Suffix

Business Name

CHARLES J LOCKE MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

MELROSE PARK

State

Zip

60160

County

COOK

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

09/26/2006